家庭医生项目在伊朗塔莱什提供初级保健的效果

L. Shams, Elham Pajooman
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摘要

医疗服务提供者一直在寻求医疗服务系统的改进,以达到更好的效果。目的本研究旨在评估家庭医生计划(FPP)在伊朗Talesh提供初级保健的效果。方法对2020年在塔列什市工作的50名家庭医生和384名在塔列什市综合卫生服务中心就诊的患者进行横断面研究。医师选择采用普查方法,患者选择采用简单随机方法。数据收集工具为研究者自行制作的两部分问卷,具有可接受的效度和信度。收集的数据在IBM SPSS统计软件中使用单样本t检验进行分析。结果t检验结果显示,医生认为FPP的服务可及性(P<0.001)和护理协调性(P= 0.028)显著低于医生认为的水平,而护理的连续性(P<0.001)和护理的综合性(P=0.003)显著高于医生认为的水平。此外,在FPP中,获得资金和位置(P<0.001)的水平明显较低,而获得教育服务(P<0.001)、服务质量(P<0.001)和卫生和医疗服务的连续性(P<0.001)的水平显著较高。结论决策者和管理者应通过维持和发展患者获得初级保健和教育服务的机会来提高FPP的服务质量,以提高患者的满意度。
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Efficacy of Family Physician Program in Providing Primary Care in Talesh, Iran
Background The healthcare providers are always seeking improvements in the health care delivery system in order to achieve better results. Objective This study aims to evaluate the efficacy of Family Physician Program (FPP) in providing primary care in Talesh, Iran. Methods This is a cross-sectional study conducted on 50 physicians working in Talesh city as family physician in 2020, and 384 patients referred to the comprehensive health service centers of Talesh city. The census method was used for selecting physicians, and a simple random method was used for selecting patients. The data collection tool was a researcher-made two-part questionnaire with acceptable validity and reliability. The collected data were analyzed using one-sample t test in IBM SPSS Statistics software. Results According to t-test results, access to services (P<0.001) and coordination of care (P= 0.028) in the FPP were significantly at a lower level according to physicians, while the continuity of care (P<0.001) and comprehensiveness of care (P=0.003) were significantly at a higher level. Furthermore, access to finance and location (P<0.001) was significantly at a lower level according to patients, while access to educational services (P<0.001), quality of services (P<0.001), and continuity of health and medical care (P<0.001) in the FPP were significantly at a higher level. Conclusion Policy makers and managers should increase the quality of services in the FPP for patients by maintaining and developing access to primary care and educational services to increase their satisfaction.
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